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THREE AMIGOS APOTHECARY LLC NPI 1720154826


NPI Information

NPI: 1720154826
Provider Name: THREE AMIGOS APOTHECARY LLC

Doing Business As: CHERRYVALE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
116 N MAPLE ST STE B
CHERRYVALE, KS
ZIP 67335
Phone: (620) 336-2144
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THREE AMIGOS APOTHECARY LLC is a community/retail pharmacy pharmacy in Cherryvale, KS. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. THREE AMIGOS APOTHECARY LLC NPI is 1720154826. The provider is registered as an organization entity type.
The provider Is Doing Business As Cherryvale Pharmacy.

The provider's business location address is:

116 N MAPLE ST STE B
CHERRYVALE, KS
ZIP 67335-729
Phone: (620) 336-2144
Fax: (620) 336-3285

The provider's authorized official is Brian Caswell .
The authorized official title is President Pharmacist In Charge and has the following contact phone number (620) 674-2018.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy2-10407KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200867870BMEDICAIDKANSAS
22140553OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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